At HCL Technologies we work as true partners with both our employees and our clients, embodying our number one value: People First. Our team is driven by a desire to always learn, improve, and innovate. We take an open-minded approach to opportunities and challenges and are focused on solving business challenges.
We deliver programs and projects that exceed stakeholder expectations. To be successful here, you will be a driver with a flexible working style and excellent communication skills; you will think strategically and act tactically.
Experience Required:
- 5+ years of Healthcare experience in any of the following – Billing, Enrollment and Claims
- Must have L2 Production Support experience
- 5+ years of experience in one or more of the following – Incident Management, Problem Management, ServiceRequest Management and Change & Release Management.
- Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
- Strong knowledge of data languages such as .Net, C# and PLSQL
- Ability to work independently, within a team environment and communicate effectively with employees at all levels
- Knowledge and experience of Medicare & Medicaid state level reporting levels
- Strong understanding of healthcare data formats, standards, and ability to map them to CMS and state level reporting needs
- Good understanding on the lifecycle of claims adjudication
- Possess good exposure on the various claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.
Responsibilities:
- End to End Project Delivery
- Manage SLA
- Coordinate and Manage customer requirements
- Manage with On-Site Engineers and attending customer calls
- Help team technically if required.
- Raising risks| issues and escalation to senior management and customer
- To create all quality documents| collect metrics data and conducting Audits. To perform Value creation and KM activities.
- To create project plans and keep track of schedule for on time delivery as per the defined quality standards.
- To ensure process improvement and compliance| and participate in technical design discussion and to review technical documents
